Sobering Truth About Addiction Treatment in America

Addiction is treatable. So why aren't more people receiving quality care?

The crisis is well documented and reported: More people are dying of drug overdose than any other non-natural cause—more than from guns, suicide, and car accidents. Politicians have held press conferences, formed commissions and task forces, and convened town-hall meetings. Vivek Murthy, the Surgeon General under President Obama (fired by Donald Trump), issued an historic report on America’s drug-use and addiction crises. Pharmaceutical companies have been blamed. Drug cartels. Physicians who hand out pain pills like Skittles.

In the meantime, the problem worsens. In 2015, 52,000 people died because of overdose, including 33,000 on OxyContin, heroin, and other opioids. Almost three times that number died of causes related to the most-used mood-altering addictive drug, alcohol. The 2016 and 2017 overdose numbers are predicted to be higher. Currently, fentanyl deaths are skyrocketing.

If not politicians, to whom can we turn to address the crisis? Since addiction is a health problem, the logical answer would be the addiction-treatment system, but it’s in disarray.

Currently most people who enter treatment are subjected to archaic care, some of which does more harm than good. Only about 10 percent of people who need treatment for drug-use disorders get any whatsoever. Of those who do, a majority enter programs with practices that would be considered barbaric if they were common in treatment systems for other diseases.

Many programs reject science and employ one-size-fits-all-addicts treatment. Patients are often subjected to a slipshod patchwork of unproven therapies. They pass talking sticks and bat horses with Nerf noodles. In some programs, patients are subjected to confrontational therapies, which may include the badgering of those who resist engaging in 12-Step programs, participation in which is required in almost every program. These support groups help some people, but alienate others. When compulsory, they can be detrimental.

Patients are routinely kicked out of programs for exhibiting symptoms of their disease (relapse or breaking rules), which is unconscionable. They are denied life-saving medications by practitioners who don’t believe in them—as Richard Rawson, PhD, research professor, UVM Center for Behavior and Health, says, “this is tantamount to a doctor not believing in Coumadin to prevent heart attacks or insulin for diabetes.”

Patients are put in programs for arbitrary periods of time. Three or five days of detox isn’t treatment. Many residential programs last for twenty-eight days, but research has shown that a month is rarely long enough to treat this disease. Some of those who enter residential treatment do get sober, but they relapse soon after they’re discharged, with, as addiction researcher Thomas McLellan, PhD, sums, “a hearty handshake and instructions to go off to a church basement someplace.” As he says, “It just won't work.” Finally, people afflicted with this disease are almost never assessed and treated for co-occurring psychiatric disorders, in spite of the fact they almost always accompany and underlie life-threatening drug use. If both illnesses aren’t addressed, relapse is likely.

Fixing the system requires modeling it on the one in place for other serious illnesses. Most people enter the medical system in their primary-care doctors’ offices, health clinics, or emergency rooms. Currently, most doctors in these settings have had little or no education about addiction. A recent ASAM survey of two thirds of U.S. medical schools found that they require an average of less than an hour of training in addiction treatment.

Doctors must be taught to recognize substance-use disorders and treat them immediately—the archaic “let them hit bottom” paradigm has been discredited. They should offer or refer for brief interventions. A program called SBIRT (Screening, Brief Intervention and Referral to Treatment), which seeks to identify risky substance use and includes as few as three counseling sessions, has proven effective in many cases, and may be implemented in general healthcare settings.

Primary-care doctors should be trained and certified to prescribe buprenorphine, a medication that decreases craving and prevents overdose on opioids. Currently, there are limitations on the number of patients doctors can treat. Still, in Vermont, for example, almost 50 percent of opioid users in treatment receive care in their doctors’ offices- they don’t have to go to addiction specialists or intensive treatment programs to receive care.

When a patient requires a higher level of care, doctors must refer them to addiction specialists, which excludes many current practitioners whose only qualification to treat addiction is their own experience in recovery. Instead, patients must be seen by psychiatrists and psychologists trained to diagnose and treat the wide range of substance use disorders. There’s a shortage of these doctors; there needs to be a concerted effort to fill the void.

According to Larissa Mooney, MD, director of the UCLA Addiction Medicine Clinic, “Individuals entering treatment should be presented with an informed discussion about treatment options that include effective, research-based interventions. In our current system, treatment recommendations vary widely and may come with bias; medication treatments are either not offered or may be presented as a less desirable option in the path to recovery. Treatment should be individualized, and if the same form of treatment has been repeated over and over with poor results (i.e. relapse), an alternative or more comprehensive approach should be suggested.”

When determining if a patient should be treated in physicians’ offices, intensive-outpatient, or residential setting, doctors should rely on ASAM guidelines, not guesses. The length of treatment must be determined by necessity, not insurance. If a patient relapses, is recalcitrant, or breaks rules, treatment should be reevaluated. They may need a higher level of care, but sick people should never be put out on the street. In addition, all practitioners must reject the archaic proscriptions against medication-assisted treatment; Rawson says that failing to prescribe addiction medications in the case of opioid addiction “should be considered malpractice.”

Programs must also address the fact that a majority of people with substance-use disorders have interrelated psychiatric illnesses. Patients should undergo clinical evaluation, which may include psychological testing. Those with dual diagnoses must be treated for their co-occurring disorders. Finally, initial treatments must be followed by aftercare that’s monitored by an addiction psychiatrist, psychologist, or physician. In short, the field must adopt gold-standard, research-based best practices.

People blame politicians, drug dealers, and pharmaceutical companies for the overdose crisis. However, that won’t help the millions of addicted Americans who need treatment now. Even the most devoted and skilled addiction professionals must acknowledge that they’re part of a broken system that’s killing people. No one can repair it but them.

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Well presented article, however, I wish you had acknowledged the licensed counselors with extensive training in the field most of whom (even with a master's degree) can't get paid to practice the much needed - evidence based treatment you recommend!

As a wife, mother, Phd and professor who seems on the outside to have it all together, I couldn't agree more with David Scheff. I was in a prominent rehab facility for 90 days and I had a glass of wine less than 24 hours after I checked out. Alcohol is THAT powerful. David Scheff's somewhat unconventional view that addiction is a biological/neurological problem that should be addressed by medical professionals and scientists rather than AA members could improve and save so many lives if it could become mainstream. Would you tell a cancer patient that their disease will be cured if and only if, they find a "higher power"? Would you look down on them for having cancer? Would you say it was their fault. Of course not. WAKE UP, WORLD!!!

I agree that there needs to be several approaches, but let's not discount 12 step recovery. I believe deeply in MAT used in conjunction with CBT & MI; however, 12 step recovery figured out something and has been helping people for 80 years while the medical profession has sat on it's hands. I'm glad society is coming around on it not being a moral failing, but 12 step recovery has called it a disease for better part of a century. We need all options.

No medically assisted therapy will work in a vacuum. Vivitrol binds to opiate receptors and can reduce cravings but it must be given long term to get the addict past the PAWS (Post Acute Withdrawal Syndrome) period, which can last for over 18 months. These patients, if not treated long enough, are at risk of overdose death due to diminished tolerance thus this drug, although a proven life saver, should only be used in highly motivated addicts who are "working a program" plus receiving ongoing CBT. Nobody knows when the appropriate time to discontinue meds will be. It is vital that addicts have a strong foundation for recovery on the day their meds are ceased.

I concur, this well written article, however, use of
medication treatment with motivated individuals and 12
step incorporation will work and have greater outcomes.

However, I feel that someone that is just coming off the
streets can benefit with style of treatment. I also believe that PAWS period can impeded on one's recovery.

Nonetheless, individuals will need just more than
medication assistance a well round addiction professional
will aid in to motivating the addict with MI/CBT coupled with
additional resources among his/hers community based self help groups.

Furthermore, the 12 step community should have
a less dictating attitude and meet that individual where
he/she is at in other words, the traditional 12 step model of when ever an alcoholic/addict reaches out for help the
hand of recovery will be there is still there to grab them.

In addition, I am recovering alcoholic/addict with nearly a
decade of recovery experience, strength and hope;
however, I was from that old train of thought one size fits
all.

In any case, I was wrong; in fact, I have been working as a
professional associate counselor in the field of addiction
with nearly 7 years of experience and 6 years in
methadone medicated assisted treatment.

Lastly, the only view I know with MAT you must have a support system in place for recovery to be at optimal success.
In essence, I would meet the patient where they were at
and go from there.

As a Mom who wanted to do what's best and on the other hand wanted to be grounded in reality, I do not know if I can help our 20 year old son who has been using for close to 5 yrs., We have not taken him to a rehab because he adamantly tells us there is no problem. Drugs are fine especially pot. I spent nearly 2 yrs an AlAnon for me but it did nothing for him. I stopped going to Alanon. Common sense says a person can get help when they want to. Went to AA. They said they wanted to change. They said they didn't want to drink any more. We took him to 4 or 5 theapists and a Psychiatrist. Nothing made a dent. If anyone posts who has been there, as a Mom or Dad. Would love to hear from you.

If you don't want to quit drugs, the treatment and the socializing with other addicts isn't going to help you. If you do want to quit, (1) Just say no. (2) Call the cops when that dealer forces drugs on you against your will. (3) Dump the druggie friends and get some like-minded anti-drug people organized and armed. (4) Make war against the dope peddlers and drug dealers.

Have you heard about the daily preaching of Joseph Prince on TBN that has helped so many hard or long time addictions in so many countries (US, Australia, England, South Africa, ..) effortlessly with Gospel of Jesus?

Not many reasonably good addiction specialists would disagree with most of this article. Nor would treatment centers or anyone else. The primary problem with treatment access, and access to appropriate therapies is paying for it. Parity laws are toothless and meaningless. I own an intensive outpatient program currently. Just today I was told a young woman who is paying her way through a sober living home would be only approved for 15 sessions of iop (that's three days per week, three hours a day). The insurer went in to say she has repeatedly been in treatment and it failed. The patient went to an iop over a year ago and was sober for several months following treatment and then relapsed.

We offer medically manager treatment by a double boarded psychiatrist, have two masters level therapists in staff as well as three drug counselors. Our staff has an average of 12 years experience and is trained in MI, CBT, EMDR, Exposure therapy and several other evidence based practices.

I see articles like this and while I appreciate the criticism, I believe it is misplaced. Many treatment programs are relying on "badgering people" to go to AA because their patients can't get any other kind of help following their sorely shortened treatment experience. AA, for all its faults, is always free and accessible, unlike the therapies we would all love to provide in the an effective dosage level. Psychotherapy, not just medicine, is also dosage dependent and currently the we are giving people "a half a course or antibiotics" and wondering why it isn't working.

The health insurance industry has tight reigns on the amount money they will provide for treatment. A week or month of treatment will not undo years and decades of abuse. Relapse is typically part of recovery. Extended treatment is incredibly expensive.
An (under) 26 year old may still be on their parents insurance, but after 26? Many addicts have lost their jobs and with luck/help are on Medicaid or have insurance through the ACA.
Shouldn't we be looking to change how the boards of health insurance companies serve their investors ?

The main reason addicts are going untreated is because the insurance companies are not covering therapy. It now appears the best, real, Medically Assisted Therapy is Vivitrol.
Suboxone (buprenorphine) is not Medically Assisted Therapy. Buprenorphine is a substitute opioid. A physicians motto is "First Do No Harm". Putting addicts on replacement opiates will tether them to perhaps something worse than their original addiction.Tapering off suboxone is more brutal than dope sickness. In fact, addicts continue to use while being prescribed Suboxone, often selling their sub in order to obtain funds to use heroin. They cleverly will then restart sub just in time for it to show up on their urine tests. The answer is not to substitute one addiction for another. Vivitrol, a non-addicting injectable which blocks opiate receptors and cravings, is truly Medically Assisted Therapy and there is good science to support its use. Vivitrol is the answer, for extended periods, probably continuing therapy for 2 years or longer. Of course, Vivitrol isn't going to work unless the addict is highly motivated and continues to "work" hard on their recovery.
Read the NEJM Article on Extended Release Naltrexone from 2016. There were NO OVERDOSES in the Vivitrol treatment group.

I don't think anyone would disagree that Vivitrol is a better option than Suboxone. However, many people cannot afford a shot that cost 1000 plus dollars a month. In the face of this we must understand the reality. I am a fan of abstinence based treatment, but some people do get their lives together taking Suboxone along with 12 step recovery or therapy. Yes, the risks are much higher for abuse, but I don't see anybody willing to pay the extreme cost of Vivitrol for the client for the amount of time you mentioned yourself. Should be a year minimum and more like 18 months. It's easy to state the obvious that Vivitrol is a better option, but it's not financially feasible for many.

Actually, for those who are not yet informed, a category which sadly includes desperate addicts and their families early in the disease process, Vivitrol is often not even mentioned! Many of these people are pushed into so called Medically Assisted Therapy with substitute opioids without an adequate discussion of alternatives.
The cost of a complete 18 month course of Vivitrol is less than a years worth of biologic therapy, currently approved by insurers, to treat psoriasis and arthritis. Vivitrol is saving young lives and the insurers should be pushed to cover it.

You sound so ignorant. What do you mean insurance won't cover? In my state, they are ALL covered by Medicaid, Medicare and commercial insurance. One of the four buprenorphine/naloxone meds are all covered. And, so is mono therapy (buprenorphine) and Vivitrol. Our state expanded Medicaid (Ohio). It has damn near drained the state's Medicaid program paying for all the meds. Something like $90M spent on Vivitrol and bupe med's. Money for mediciation is not the problem... The problem is no one treating addiction with a waiver to prescribe (doctors, clinics) takes or mandated to take the insurance/Medicaid to pay for the office visits. Patients are not able to use their benefits. Cash only. Same business model the pill mills followed. This area of medicine is still not a legitimate part of healthcare. Cash & Carry. Addiction medicine is like a fast food drive thru. Order Suboxone Film, Subutex, benzos, adderall at one window- then pay cash at the next. Zero treatment. Zero help. Takes advantage of patients. This is how we got here as a society, with those same non-existent standards. We must expect more for ourselves, sons, daughters, family, friends. If you eliminate the cash model of treatment and implemented Standards of Care, gold standard of treating, evidence based medicine- a lot would improve.

And while I am on a roll, Vivitrol had their studies conducted in Russia, not US. And, on a whopping 28 subjects. Russia is the pinnacle of healthcare, right?? Why not conduct on American subjects since the US is in the greatest opioid drug crisis, ever?! 51% of the subjects did not stay in the trial for the full 24 weeks due to LACK OF EFFICIENCY! 45% greater increase for OD when patients stop treatment!! Most of the patients who are getting treated for opioid addiction on a monthly basis need Zubsolv, Bunavail, etc... Vivitrol is the BEST for patients who are further along in their recovery. I appreciate you addressing the motivation in your comments. Vivitrol is an antagonist/blocker. It cannot work on cravings, SAMHSA TIP 40 (federal guideline). Only a partial bupe works on the cravings due to partially working as a agonist too. AND, the best part of bupe/naloxone meds, CEILING EFFECT. MAT is the best option for patients. All meds are needed. At different stages in recovery, doctors and patients have and need many options. I personally wish there was a vaccine for addiction. Hopefully, soon for people who just can't say no to drugs.

I think the above comment from Kristy was correct, but I also agree with some of the second paragraph of No Victim.

The part about subs. I know people who go to cash doctors and demand subs even when their insurance pays for Zubsolv (spell?). They pay cash $200 for the visit and $500 for subs even though zubs are covered on their insurance. $700 a month! How do these docs think the patient is paying $700 a month and no job?? They are selling the subs for $25 each. $1500 a month they are making, for what? Selling drugs! Then they sell the benzos too. Use heroin all month, then go see their doc. They take one subs before seeing the doc so they can get their rx of more subs... What a disaster. No wonder they don't stay in recovery. The whole system needs to be blown up and start over. Doctors should be in trouble for this. They are just like the pill mill's who started this whole mess.

Bingo. That is exactly the experience up in Portland Me, throughout New England, Appalachia etc. The same forces of greed (compounded by ignorance) which created this opioid epidemic are now cashing in on substitute opioids which they cleverly, and deceitfully, refer to as "medically assisted" . I love how they claim that substitute opioids "reduce cravings". That's like saying "my cravings for beer went away when I switched to whiskey".

Yes. Every word of this article is true. Thank you for this. I'm reading Nic Sheff's second book, We All Fall Down, and finding myself infuriated by the lack of respect and the slipshod "treatment" he is receiving.

"People blame politicians, drug dealers, and pharmaceutical companies for the overdose crisis. However, that won’t help the millions of addicted Americans who need treatment now. Even the most devoted and skilled addiction professionals must acknowledge that they’re part of a broken system that’s killing people. No one can repair it but them."

There is no doubt that treatment & rehab is a complicated order. The U.S' medical & insurance systems are broken to begin with. I agree with the majority of this article except that there must be rules and consequences for programs to be effective. What thrives in chaos?

My questions are the following:
This explosion of heroin, etc. use happened under Obama ' s watch. Why? How?
How is this tremendous amount of heroin making it's way into the U.S.?
This is rediculous! Meetings & committees are not on the front lines of apprehending drug smugglers & their dope.
How is it that the great U.S. cannot stop or greatly reduce the amount of heroin entering this country?
Yes, we need Healthcare & treatment & Prisons, but we need to stop the flow into this country! "Dirty" Border Patrol & Law Enforce Enforcement, etc. are to blame for the most part, in my opinion.
Stop the dope at the source. Use Military action if needed.
And yes, I do know what I'm talking about. I am a Mother of an addict who is now serving time. I've been through unimaginable horrors, rehabs, hospitals, and many Doctors.
I pity any parent of an addict.

"Doctors are handing out painkillers like Skittles." Jesus, this could only have been written by someone who does not have a chronic pain problem, does not know someone who has chronic pain, and has not made a doctors appt to get help for pain in the last two years.

Doctors are VERY RELUCTANT to hand out opiate painkillers.

And pain patients are suffering. Take a survey of pain patients. Ask someone you know who deals with migraines, arthritis, back problems--ask them how easy it is to get effective pain management. Ask them how effective their pain medications are and how many side effects they deal with.

Doctors are very afraid of what has become an extremely litigious atmosphere. Opiates are rarely prescribed. And the only people who are suffering are the ones who are trying to deal with their pain through legitimate channels.

Beware the paid advocates. On every comments board you will find them. The corporate criminals who created this epidemic (Perdue Pharma) and those who are now profitting from MAT (Braeburn Pharma) have paid advocates who go out and shill for continuing to poison us with opioids.
Remember, there is a corporate crime behind this epidemic and the same forces of greed which created it are fighting to keep it going. Ignore these PAID advocates postings.

The facts seem to bear out the truth. The number of pain pill prescriptions rose from 79 million to 359 million in a 15 year period. Is anyone suggesting we are in more pain? No, we aren't. Big Pharma lunches and visits to our physicians helped them to write extraordinary numbers of pain pills that caused this epidemic. I will be happy to show you my deceased brothers prescription report.

With few exceptions, medication assisted treatment not included, it's true addiction treatment is a disaster in America. More recently it's being corrupted by profiteers, the worst of which are the MAT crowd. In time, it will be known that treatment for addiction must be extended, stepping down from intensive to less intensive components over the course of a year. Someone has to pay for this extended care, and when we wise up one day to acknowledge this and make the money available, all will be able to access this continuum. Inpatient and residential treatment discharge planners have to learn how to do the job right. A couple calls or an internet search to find a counselor isn't proper follow-up. Treatment must also take on a wellness focus, and must be centered on regaining health. Those in recovery need to revamp diets, stop smoking, exercise, meditate, do yoga, and find healthy socialization. Some need to leave jobs where there is use present. And equally important, treatment based on the 12-steps must be abandoned. Do people realize the steps were not intended for treatment settings? They are intended for support. The article mentions an absence of evidence-based practice in addiction care. You'd better believe it, with so called "counselors" simply reciting AA jargon in treatment rooms, and expecting payers to regard this as "treatment".

I work as a counselor at a treatment center that does everything you said isn't being done. We screen for co-ocurring disorders, have a psychiatric component, use MI, CBT, and the 12-Steps. We are a 90 day minimum program with a phase system that steps down the level of care gradually until entering sober living. We create a social support network and plug our clients into community resources before discharge for a seamless transition. We are licensed addiction counselors, psychiatrists, and nurses who treat the whole person as a team. Most of us are also in recovery ourselves and have been through horrible treatment centers in the past. Our clients come back to work with us as direct care staff. Some like myself decided to become counselors. There are quality facilities and we are fighting to stay affordable, but unfortunately the only catch is, we charge for our services and insurance doesn't cover all of it. Now we have an administration trying to take away coverage altogether. I know I'm doing my part and I feel confident I'm making a difference.

We read a ton about this treatment, and that treatment, and relapses, and how it's so awful. Well, what causes addiction, anyway? Seems to me that before we go off stomping and trumpeting about treatment, we need to identify the causes, and fashion what we are going to do about it around the causes. I've never had an addiction problem, but from the outside looking in, it seems like there are more than enough bad ideas to go around. One common denominator is that addicts and alcoholics feel massively sorry for themselves. Life is a bloody hell for everyone, even those of us who stand up and face the train coming at us in the tunnel stone cold sober, so we have the faculties to deal with it the best we can for the family and others around us. People who actually want treatment either can't afford it, or what treatment they go to is not nearly long enough or concentrated enough to do any good. Insurance is a joke.
Paying for it is an extreme stressor. People who don't want treatment and are forced into it by the courts or whomever, take no benefit away and that is just wasted time and resources. The programs are for some arbitrary time period, like 28 days, then right back to their same old problems, same old drug addict buddies, etc., same disfunctional way of dealing (or not dealing) with real life, with no new environment or lifestyle at the other end. Is it just me, or does it seem like a spectacularly bad idea to have people counseling others whose only qualification is they are addicts themselves? Every addict or alcoholic I have ever known has a serious screw loose. They have such odd thinking patterns.

"I've never had an addiction problem"
Really? It's strange that with no such experience you would be capable of such a depth of empathy.

"Every addict or alcoholic I have ever known has a serious screw loose. They have such odd thinking patterns."
And here you are, the poster child for sanity and clear thinking. Have you ever considered in your life that people with different brains than yours process their worlds differently than you do? It seems like for someone with no history of addiction, no real-life experience to call on, save for "every addict (you've) ever known", you have a lot of confidence in your opinion. You're the embodiment of Dunning-Kruger.

Wow, you ARE a poster child! The perfect example of why people with addictions become addicted. The “screw loose” probably is an unfortunate mental disorder like anxiety/panic disorder, depression, ptsd.... etc. So, life is hell for them. They DO face life and the bullshit every day. But hell looks different for everyone, and for some, like myself, just opening my eyes in the morning used to set off waves of panic that felt like my heart exploding. Apparently, your life offers little challenge if you cannot relate. It’s the backwards thinking that your comment clearly demonstrates that has caused our country to have the worst health crisis in over a century. Do some research on “the stigma of addiction”. Then take your self-absorbed, perfect/elitist self elsewhere. I feel sorry for you.

And--does more harm than good. That was a mouthful of truth statement that pertained to me in treatment. It set me back 15 months. No one likes a program imposed/mandated upon them and their choices taken away from them. And furthermore, to be criticized and attempted to be shamed by certain program members that have the "upper hand." (they're not confined to a hospital, whereas, patients are). They are empowered by their position and podium; patients aren't. I'm over it now. I hope that new insurance legislation clamps down on treatment facilities and demands that they become "medical" and "evidence-based" before they are awarded payment.

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I AM HAPPY TO BE CURED FROM GENITAL WARTS CONTACT DR AKUNA ON HIS MOBIL:+2348154625070

I'm so happy and thankful to the great Dr Akuna for making me a free woman from herpes virus. previously i met with one man and we had sex and condom broke and after that he told me he had a Genital Warts virus. i was mad i broke up with him and was looking for a way to help myself. i met a herbal Dr in India and he gave me medicine. but at the end of the period nothing happened. i was fed up of trying thinking they are all the same fake doctors. i was wrong. until one very evening i reading through a (Grace church guestbook) then i saw thousand of amazing testimonies and i was surprise. but i wrote to him and he replied telling me how i can get his medicine after which i receive and used for 2weeks and was confirm by the same doctor who first tested me positive. Now confirm there is no trace of any disease in me. behold i was negative. i am writing to spread my experience with Dr Akuna and i wish you will also do the same his Mobil:+2348154625070

Hello friends
am here to share my experience on how in was cured of herpes by a herbal doctor. been with herpes is like being through hell, i was directed to these herbal dr by a friend of mine who was also cured by him, so friends if you ready to get cured of these deadly virus kindly contacted Dr Idahosa on his mail : hsvnaturalremedyclinicgmailcom or whatsapp him via +2347033330164

May Almighty God bless you Dr MABUWA,after all the suffering of HEPATITIS B DISEASE for 11years you put an end to it, with your great herbal remedy, i hope everyone reading this article can see how great you are, for curing so many people of Diseases and including, friends, i gone through hell and back all the years i suffered from this disease, finally today i am negative, after receiving your herbal remedy, after taking it for 2weeks only i went back to my doc and behold was negative, i can't thank you enough Dr MABUWA. but to pray that God continue to use you to do wonders in the life of people. if you are reading my testimonies and you are suffering from HIV/AID,DIABETES,SYPHILIS,SARS,HSV1&2,CANCER,ZOSTER HERPES,COLD SORES and so much more, Dr MABUWA will help you friends, i can be sure of that, since he cured me of my HEPATITIS B. his what app line:+2348130714541

This is real take it serious, who will believe that a herbal doctor(Dr Bude)can cure four years HERPES in my body, i never believe that this will work i have spend a lot when getting drugs from the hospital to keep me healthy, what i was waiting for is death because i was broke, one day i hard about this great man who is well know of HERPES and cancer cure, i decided to email him, unknowingly to me that this will be the end of the HERPES in my body, he prepare the herb for me, and give me instruction on how to take it, at the end of the two week, he told me to go to the hospital for a check up, and i went, surprisingly after the test the doctor confirm me negative, i thought it was a joke, i went to other hospital was also negative, then i took my friend who was also HERPES positive to the Dr Bude, after the treatment she was also confirm negative . He also have the herb to cure cancer please i want every one with this virus to be free, that is why am dropping his email address, Email:budespelltemple AT hotmail DOT com or budespelltemple AT gmail DOT com and his contact +2348138666235 do email him he is a great man. the government is also interested in this Dr Bude, thank you for saving my life, and I promise I will always testify for your good work and also whatsapp him .. ...

I bought Dr.Sebi New Age Herpes and HIV Cure he shows in a video on internet. I was very sick, i was tested Herpes 1&2, and i had a huge gut, I tested Positive back in 2013. I retested again in 2016 and was still positive, could barley breath and hated my life everyday. The drugs for HIV just cause more issues, but i got healed after using Dr.Sebi herbs medicine method. What he talks about may not make sense to you now but later if you try nature you will see... I started changing my diet as advised by Dr.Sebi. I tested negative for the 2nd time this past Thursday I got my test results again. Trust me NO one is throwing a party for me at my doctors office. They just tell me to keep getting tested. I certainly will do that to keep proving them wrong. I spent a lot more on drugs than the cost of this herbs medicine. It worked for me so I really cannot see why anyone else even would take drugs after seeing this great works of Dr.Sebi. All thanks to Dr.Sebi....Get your cure and advise through +2348137806900

Thanks to the Doctor who bring back my life to the normal position because am suffering for Diabetes Disease that almost kill me. i had Diabetes since i was 22years. after researching on a cure for my Diabetes i saw a way out with herbal Dr Bude. he sent me his herbal medicine and within 15days i was cured completely. i received his herbal medicine through DHL delivery service. after 15days of usage i was cured. i am so happy now, my system was cleansed with the herbal medicine and i am well and negative once again thanks to Dr Bude the herbal man who cured my Diabetes Disease with his herbal medicine contact him now:budespelltempleATgmailDOTcom or budespelltempleAThotmailDOTcom or his what app:+2348138666235

Greatest thanks to Dr Akuna for his herbal drugs that he prepared for me and when i start using it in just 2weeks i was completely cured and that ended my HERPES SIMPLEX 1&2 DISEASE i am so happy and grateful to Dr Akuna. after reading about him on a testimony of Jason Cash on a blogger. i knew suddenly Dr Akuna was the right Doctor to cure my HERPES SIMPLEX 1&2 DISEASE. i discuss with Dr Akuna and he prepared a herbal medicine for me and when it got sent to me in NEW YORK. i used the herbal medicine and 2weeks and i went to check up again. after 15years of suffering from HERPES SIMPLEX 1&2 at last i am smiling once again. Dr Akuna also has remedy to others disease like COLD SORES,HIV/AIDS,DIABETES.CANCER,HIGH BLOOD PRESSURE AND MANY MORE. I oblige everyone to contact this powerful herbalist Dr Akuna and be free from your suffering. contact his What App line:+2348154625070

Dr Bude thank you for making me smile after many years of suffering from herpes. i am indebted to you sir. for all your help render to me. i am writing to appreciate you Dr Bude. for not letting me to die in Herpes. dear viewers after i used Dr Bude herbal medicine in 2weeks i was completely cured and now i am happy i contacted you sir on that very day. if you are suffering from herpes contact Dr Bude now and get cured from your disease. on his email Email address :budespelltemple [AT]hotmail[DOT]com or budespelltemple[AT]gmail[COM]com or his Mobil: +2348138666235

I appreciate the great Dr MABUWA for his healing herbal medicine he prepared for me, after being a sufferer of HSV 1&2 Disease for 5years. it was very surprising how i got cured from Dr MABUWA herbal medicine, that quickly cleanse my whole body and today after checking myself in the hospital i was found negatives, dear viewers my doctor personally told me that there was no cure for my Disease at first i thought the world has ended for me but as soon as i got reached to Dr MABUWA herbal medicine, my story was not the same again, i only used Dr MABUWA herbal medicine for just 2weeks and i was totally cured, no one deserve to suffer for so long,health is wealth my dear viewers no amount of money can cure you except you get the right remedy and be cured completely, today a cure is found and confirm by many others like me, Dr MABUWA also has other cure for HIV AIDS, DIABETES,HEPATITIS B,CANCER,HEART DISEASE,MIGRAINES,COLD SORES,I am going to keep spreading this good news to the whole world, Contact his What app Mobil:+2348130714541

I appreciate the great Dr MABUWA for his healing herbal medicine he prepared for me, after being a sufferer of HSV 1&2 Disease for 5years. it was very surprising how i got cured from Dr MABUWA herbal medicine, that quickly cleanse my whole body and today after checking myself in the hospital i was found negatives, dear viewers my doctor personally told me that there was no cure for my Disease at first i thought the world has ended for me but as soon as i got reached to Dr MABUWA herbal medicine, my story was not the same again, i only used Dr MABUWA herbal medicine for just 2weeks and i was totally cured, no one deserve to suffer for so long,health is wealth my dear viewers no amount of money can cure you except you get the right remedy and be cured completely, today a cure is found and confirm by many others like me, Dr MABUWA also has other cure for HIV AIDS, DIABETES,HEPATITIS B,CANCER,HEART DISEASE,MIGRAINES,COLD SORES,I am going to keep spreading this good news to the whole world, his What app Mobil:+2348130714541.

I appreciate the great Dr MABUWA for his healing herbal medicine he prepared for me, after being a sufferer of HSV 1&2 Disease for 5years. it was very surprising how i got cured from Dr MABUWA herbal medicine, that quickly cleanse my whole body and today after checking myself in the hospital i was found negatives, dear viewers my doctor personally told me that there was no cure for my Disease at first i thought the world has ended for me but as soon as i got reached to Dr MABUWA herbal medicine, my story was not the same again, i only used Dr MABUWA herbal medicine for just 2weeks and i was totally cured, no one deserve to suffer for so long,health is wealth my dear viewers no amount of money can cure you except you get the right remedy and be cured completely, today a cure is found and confirm by many others like me, Dr MABUWA also has other cure for HIV AIDS, DIABETES,HEPATITIS B,CANCER,HEART DISEASE,MIGRAINES,COLD SORES,I am going to keep spreading this good news to the whole world, his What app Mobil:+2348130714541.

Quick Cure
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He also Cure
1) HIV/AIDs Virus
2) Hepatitis B and C
3) Herpes
4) Cancer
5) ZIKA VIRUS
6) COPD
7) STROKE.
8) Erectile Dysfunction
9) Trichomoniasis
10) Chlaydia
11) Gonorrhea
12) HBV
13) Syphilis